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MLR timeline released! See when rebates are mailed by UHC
by Amber Bair » Wednesday, July 18, 2018 12:59 PM
     Regarding   »  UnitedHealthcare



UnitedHealthcare shares 2018 medical loss ratio rebate timeline

July 10, 2018

·         Fully Insured

·         Reform and Regulatory

Final Medical Loss Ratio (MLR) rebate reports for UnitedHealthcare customers will be available on the broker portal the week of Sept. 15, and customers will receive their rebate payments in the mail at the end of September.

Federal law, established as part of the Affordable Care Act in 2011, requires health insurers to spend majority of their premium dollars on medical claims and activities that improve health care quality. Insurers must meet or exceed an MLR of 80 percent for the individual and small group markets, and 85 percent for the large group market. When insurers do not meet the MLR threshold, they must refund the difference to their customers via rebates.

The MLR applies to fully insured plans/policies only. The 2018 payouts are for the 2017 MLR rebate reporting year, using the 2016 average total number of employees (ATNE) to determine MLR group size. Small group size is 1 to 50 ATNE in all states except California, Colorado, New York and Vermont, where small group size is 1 to 100 ATNE. Payouts are based on the aggregation set, not on the performance of a specific employer group or individual.

The full MLR timeline is listed below:

Medical Loss Ratio (MLR) Timeline for 2017 Reporting (2018 Payout)

·         April 1 – Supplemental Health Care Exhibits Report, shows preliminary MLR

·         June 15 – Early Warning Report

·         July 31 – Health and Human Services (HHS) MLR Rebate Reports filed and publicly available on healthcare.gov in October

·         Week of Sept. 8 – Final rebate reports to UnitedHealthcare sales offices

·         Week of Sept. 15 – Final rebate reports to brokers on their specific customers are available on the broker portal

·         Sept. 30 – All MLR Rebate checks are mailed

The MLR hotline will be available for brokers and customers in September, prior to distribution of the rebate payments.




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RBG Newsletter
by Amber Bair » Friday, February 02, 2018 1:43 PM


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Better You Strides
by Amber Bair » Thursday, February 01, 2018 1:10 PM
     Regarding   »  Florida Blue


Florida Blue's new Wellness Platform for Small Group!
 This new platform is called Better You Strides and is powered by CaféWell.

The new wellness solution will be available as a part of the small group health plans on January 1, 2018. All small group members get access to this new platform at no cost.

Here's a video for Employers:
 


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